Evidence map›Paper›PMID 34168987›Full record

ArticleFrontiers in oncology2021

Phase 2 Study of Pomalidomide (CC-4047) Monotherapy for Children and Young Adults With Recurrent or Progressive Primary Brain Tumors.

Jason Fangusaro, Maria Giuseppina Cefalo, Maria Luisa Garré, Lynley V Marshall, Maura Massimino, Bouchra Benettaib, Noha Biserna, Jennifer Poon, Jackie Quan, Erin Conlin and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03257631 (A PHASE 2 CLINICAL STUDY OF POMALIDOMIDE), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03257631 phase2completednot on this map

A phase 2 clinical study of pomalidomide (cc-4047) monotherapy for children and young adults with recurrent or progressive primary brain tumors

TypeinterventionalSponsorCelgeneRan2017 to 2023Enrolled53ConditionsCentral Nervous System Neoplasms, MedulloblastomaArmsPomalidomide
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  3. A systematic review of ongoing clinical trials in optic pathway gliomas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 4 countries.

Jason FangusaroDepartment of Pediatrics, Children's Healthcare of Atlanta and Aflac Cancer Center at Emory University Medical School, Atlanta, GA, United States.
Maria Giuseppina CefaloDepartment of Hematology/Oncology and Stem Cell Transplantation, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.
Maria Luisa GarréNeuro-Oncology Unit, Istituto Giannina Gaslini, Genoa, Italy.
Lynley V MarshallChildren and Young People's Unit, The Royal Marsden Hospital and The Institute of Cancer Research, London, United Kingdom.
Maura MassiminoPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Bouchra BenettaibBristol Myers Squibb, Princeton, NJ, United States.
Noha BisernaBristol Myers Squibb, Princeton, NJ, United States.
Jennifer PoonBristol Myers Squibb, Princeton, NJ, United States.
Jackie QuanBristol Myers Squibb, Princeton, NJ, United States.
Erin ConlinBristol Myers Squibb, Princeton, NJ, United States.
John LewandowskiBristol Myers Squibb, Princeton, NJ, United States.
Mathew SimcockCelgene Corporation, Uxbridge, United Kingdom.
Neelum JesteBristol Myers Squibb, Princeton, NJ, United States.
Darren R HargravePediatric Oncology Unit, UCL Great Ormond Street Hospital for Children, London, United Kingdom.
François DozDepartment of Pediatric Oncology, Institut Curie and University of Paris, Paris, France.
Katherine E WarrenNational Cancer Institute, National Institutes of Health, Bethesda, MD, United States.
Bristol-Myers Squibb (United States) · USBambino Gesù Children's Hospital · ITEmory University · USFondazione IRCCS Istituto Nazionale dei Tumori · ITGreat Ormond Street Hospital · GBInstitut Curie · FRIstituto Giannina Gaslini · ITNational Institutes of Health · USRoyal Marsden Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTreatment of recurrent primary pediatric brain tumors remains a major challenge, with most children succumbing to their disease. We conducted a prospective phase 2 study investigating the safety and efficacy of pomalidomide (POM) in children and young adults with recurrent and progressive primary brain tumors.

methodsPatients with recurrent and progressive high-grade glioma (HGG), diffuse intrinsic pontine glioma (DIPG), ependymoma, or medulloblastoma received POM 2.6 mg/m

results46 patients were evaluable for response (HGG, n = 19; DIPG, ependymoma, and medulloblastoma, n = 9 each). Two patients with HGG achieved OR or LTSD (10.5% [95% CI, 1.3%-33.1%]; 1 partial response and 1 LTSD) and 1 patient with ependymoma had LTSD (11.1% [95% CI, 0.3%-48.2%]). There were no ORs or LTSD in the DIPG or medulloblastoma cohorts. The median PFS for patients with HGG, DIPG, ependymoma, and medulloblastoma was 7.86, 11.29, 8.43, and 8.43 weeks, respectively. Median OS was 5.06, 3.78, 12.02, and 11.60 months, respectively. Neutropenia was the most common grade 3/4 adverse event.

conclusionsTreatment with POM monotherapy did not meet the primary measure of success in any cohort. Future studies are needed to evaluate if POM would show efficacy in tumors with specific molecular signatures or in combination with other anticancer agents. CLINICAL

trial registrationClinicalTrials.gov, identifier NCT03257631; EudraCT, identifier 2016-002903-25.

Indexed as

diffuse intrinsic pontine gliomaependymomahigh-grade gliomamedulloblastomapomalidomideprogressive or recurrent disease

Identifiers

PMID34168987
PMCPMC8218626
OpenAlexW3166685012

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.